The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities

Hayley Marwood; Deborah Chinn; Kenneth Gannon; Katrina Scior

doi:10.1111/jar.12328

The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities

Hayley Marwood, Deborah Chinn, Kenneth Gannon, Katrina Scior

Nursing & Midwifery Research

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

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Abstract

Background

People with intellectual disabilities (ID) should be able to access the Improving Access to Psychological Therapies (IAPT) programme, currently a main provider of mainstream mental health services in England. IAPT offer cognitive behavioural therapy (CBT) to individuals experiencing mental health problems, although its effectiveness for people with ID, when delivered within IAPT, is unclear.
Method

Ten high-intensity therapists took part in semi-structured interviews, analysed using thematic analysis, regarding their experiences of delivering CBT to people with ID in IAPT.
Results

The rigidity of the IAPT model appears to offer a poor fit with the needs of people with ID. Therapists appeared uncertain about how to modify CBT and highlighted training and service development needs.
Conclusions

Findings suggest barriers to accessing IAPT largely remain unaddressed where people with ID are concerned. Services may need to reconsider what constitutes appropriate reasonable adjustments to ensure equitable access.

Original language	English
Journal	JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES
Early online date	24 Jan 2017
DOIs	https://doi.org/10.1111/jar.12328
Publication status	E-pub ahead of print - 24 Jan 2017

Keywords

CBT
high-intensity therapists
IAPT
intellectual disabilities;
mental health
therapist confidence

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10.1111/jar.12328

The experiences of high_MARWOOD_Publishedonline24Janaury2017_GREEN AAMAccepted author manuscript, 400 KB

Cite this

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abstract = "BackgroundPeople with intellectual disabilities (ID) should be able to access the Improving Access to Psychological Therapies (IAPT) programme, currently a main provider of mainstream mental health services in England. IAPT offer cognitive behavioural therapy (CBT) to individuals experiencing mental health problems, although its effectiveness for people with ID, when delivered within IAPT, is unclear.MethodTen high-intensity therapists took part in semi-structured interviews, analysed using thematic analysis, regarding their experiences of delivering CBT to people with ID in IAPT.ResultsThe rigidity of the IAPT model appears to offer a poor fit with the needs of people with ID. Therapists appeared uncertain about how to modify CBT and highlighted training and service development needs.ConclusionsFindings suggest barriers to accessing IAPT largely remain unaddressed where people with ID are concerned. Services may need to reconsider what constitutes appropriate reasonable adjustments to ensure equitable access.",

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T1 - The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities

AU - Marwood, Hayley

AU - Chinn, Deborah

AU - Gannon, Kenneth

AU - Scior, Katrina

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AB - BackgroundPeople with intellectual disabilities (ID) should be able to access the Improving Access to Psychological Therapies (IAPT) programme, currently a main provider of mainstream mental health services in England. IAPT offer cognitive behavioural therapy (CBT) to individuals experiencing mental health problems, although its effectiveness for people with ID, when delivered within IAPT, is unclear.MethodTen high-intensity therapists took part in semi-structured interviews, analysed using thematic analysis, regarding their experiences of delivering CBT to people with ID in IAPT.ResultsThe rigidity of the IAPT model appears to offer a poor fit with the needs of people with ID. Therapists appeared uncertain about how to modify CBT and highlighted training and service development needs.ConclusionsFindings suggest barriers to accessing IAPT largely remain unaddressed where people with ID are concerned. Services may need to reconsider what constitutes appropriate reasonable adjustments to ensure equitable access.

KW - CBT

KW - high-intensity therapists

KW - IAPT

KW - intellectual disabilities;

KW - mental health

KW - therapist confidence

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The experiences of high intensity therapists delivering cognitive behavioural therapy to people with intellectual disabilities

Abstract

Keywords

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